Pacific Phoenix Immigration

Pacific Phoenix Immigration Online Assessment Form

1. Personal Details 2. Education & Experience 3. Additional information

Your name *

Your surname *

Your Email *

Your phone number (including area code) *

Your Address *

Country *

Region *

City *

ZIP / Postal Code *

Your date of birth (required), marital status, your children and their dates of birth * Please try to be as detailed as possible when completing this questionnaire. For example: DOB April 3, 1980; Married since 2005; Children: Michael born on May 28, 2006; Joanna - January 30, 2008

Are you married or in a common-law relationship? *

Yes

Education * Please provide detailed information about your education (names of the educational institutions, dates of studies, diploma or degree awarded). For example: Elementary/secondary school 1986 – 1998; BA Degree, Economics, Massachusetts Institute of Technology 1998 – 2002; Master of Business Administration, University of British Columbia 2002-2004

Knowledge of English or French * Please provide your language test results (IELTS, CELPIP, TEF): reading, writing, listening and speaking. For example: IELTS taken 2 months ago Reading 8.0 Writing 7.5 Listening 8.5 Speaking 7.5 TEF taken 1 year ago Reading 207/300 Writing 234/450 Listening 206/360 Speaking 219/450

Experience * Please provide dates of employment, name of the company/organization, and your position. Please note that CIC will only consider work experience in the past 10 years. If you worked part-time, indicate the number of hours per week. Please try to be as detailed as possible. For example: 2012 – present, Auditor, R&R Agency, Sydney, Australia; 2009-2012 Accountant, part-time (20 hours per week), Capital Realty, LA, USA; 2005-2009 Accountant, Capital Realty, San Francisco, USA

Online Assessment

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Pacific Phoenix Immigration Online Assessment Form